<div class="pageContent">

	<form method="post" action="__URL__/repay/navTabId/__MODULE__/callbackType/closeCurrent" class="pageForm required-validate" onsubmit="return validateCallback(this, dialogAjaxDone)">
	   
		<input type="hidden" name="id" value="{$list['id']}"> 
		<div class="pageFormContent" layoutH="58">
			<div class="unit">
				<label>借款人：</label>
				<input type="text" name="username"    value="{$list['username']}" readonly>
			</div>
			<div class="unit">
				<label>借款金额：</label>
				<input type="text" name="bcount"   value="{$list['bcount']}" readonly>
			</div>
			<div class="unit">
				<label>已还金额：</label>
				<input type="text" name="bcount"   value="{$list['backcount']}" readonly>
			</div>
			<div class="unit">
				<label>还款总额：</label>
				<input type="text" name="capacity"  class="required alphanumeric" max="{$max}">
			</div>
			<!-- <div class="unit">
				<label>已付款：</label>
				<input type="text" name="apayment">
			</div>
			<div class="unit">
				<label>未付款：</label>
				<input type="text" name="wpayment">
			</div> 
			<div class="unit">
				<label>备注：</label>
				<textarea cols="56" rows="3" name="note" style="width: 360px;"></textarea>
			</div>
			-->
		</div>
		
		<div class="formBar">
			<ul>
				<li><div class="buttonActive"><div class="buttonContent"><button type="submit">保存</button></div></div></li>
				<li><div class="button"><div class="buttonContent"><button type="button" class="close">取消</button></div></div></li>
			</ul>
		</div>
	</form>

</div>

